左心室辅助装置植入患者心脏康复训练的研究进展  

Research progress of cardiac rehabilitation training for patients with left ventricular assist device implantation

作　　者：赵晨颖 史宏岩[1] Zhao Chenying;Shi Hongyan(Rehabilitation Division,TEDA International Cardiovascular Hospital,Tianjin 300457,China)

机构地区：[1]泰达国际心血管病医院康复科,天津300457

出　　处：《中华胸心血管外科杂志》2023年第5期293-295,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：左心室辅助装置(left ventricular assist device,LVAD)有助于提高终末期心力衰竭患者生存率,改善生活质量,但LVAD植入后患者的生活质量仍低于心脏移植。LVAD植入后影响患者生活质量的原因包括:患者不适症状、手术并发症、再住院率较高、体力活动限制以及负面心理情绪等。心脏康复训练可改善患者心理状态、提升运动能力、降低再住院风险等,有助于提高LVAD植入患者的生活质量。LVAD植入患者的运动处方包括有氧耐力训练、步行训练、轻~中度阻力训练、体操训练等,运动训练强度应控制在第一通气阈值(无氧阈)、50%的峰值耗氧量或自我劳累程度Borg量表12~14分水平。目前LVAD植入患者进行心脏康复训练的安全性已得到充分证实。Left ventricular assist device(LVAD)can improve the survival rate and quality of life of patients with end-stage heart failure,but the quality of life of patients after LVAD implantation is still lower than that of heart transplantation.The reasons for the influence of LVAD implantation on patients'quality of life include discomfort symptoms,surgical complications and high re-hospitalization rate,limitation of physical activity level and negative psychological emotions after device implantation.Cardiac rehabilitation training can improve the quality of life of LVAD patients by improving their psychological state,enhancing their exercise ability and reducing the risk of re-hospitalization.The exercise prescription of LVAD implant patients can include aerobic endurance training,walking training,light to moderate resistance training,gymnastics training,etc.The exercise training intensity should be controlled at the first ventilation threshold(anaerobic threshold),50%peak oxygen consumption or 12-14 points of Borg scale.In addition,the safety of cardiac rehabilitation training for LVAD patients has been fully demonstrated.

关 键 词：左心室辅助装置 心脏康复训练 步行训练 体力活动 运动处方 无氧阈 有氧耐力训练 体操训练 

分 类 号：R654.2[医药卫生—外科学] R493[医药卫生—临床医学]